VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Sabrina Wilson
1808-B Solomon Road
Charlottesville, VA 22901
(434) 382-7971

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: April 30, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Immunization and physical examination reports for children shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician's designee, or an official of a local health department. 8VAC20-800-110-B

Comments:

A monitoring inspection was conducted on 04/30/2024 from 10:40 AM to 12:20 PM. There were nine children present (23 points), ranging in ages from thirteen months to three years, with two staff. The inspector reviewed compliance in the areas of administration, staff training, physical plant, staffing and supervision, programming, and special care and emergencies. A total of five children?s records, one pet record, and the two staff?s records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22.1-289.011-F
Description:	(REPEAT VIOLATION) Based on observation, the provider failed to post the most recent license in a conspicuous place. Evidence: An inspection of the family day home was conducted. The license could not be found on the premises.
Plan of Correction:	The license was forwarded to the provider by the licensing inspector and will be posted.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: The record for child 1, first day 1/22/22, and child 3, first day 1/1/23, does not have documentation of a physical examination.
Plan of Correction:	The physical for child 3 has been obtained and a doctor appointment has been scheduled for child 1. In the future the provider will ensure physicals are obtained in the required timeframe.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider failed to obtain emergency contact information that included the name, address and telephone number of at least two designated persons to contact in case of an emergency if the parents cannot be reached. Evidence: The record for child 5 only contained one emergency contact.
Plan of Correction:	The additional emergency contact has been obtained and added to the file.
Standard #:	8VAC20-800-180-A
Description:	(REPEAT VIOLATIONS) Based on record review and interview, the provider failed to obtain updated TB screenings every two years from each caregiver. Evidence: Staff 2's most recent TB screening is dated 10/17/21.
Plan of Correction:	Staff 2's TB screening has been scheduled for next week and the results will be forwarded to the licensing inspector. In the future the provider will create a system to keep up with when updates are needed.
Standard #:	8VAC20-800-570-A
Description:	Based on observation, the provider failed to ensure that a caregiver does not exceed 16 points by using the required point system to determine if an additional caregiver is needed. Evidence: The licensing inspector arrived at 10:40 AM finding the provider alone with nine children totaling 23 points. The provider stated the assistant went to the grocery store. The assistant arrived at 11:03 AM.
Plan of Correction:	The provider will ensure all items needed for care will be purchased before children arrive in the future. If two staff are needed to meet points in the future they will not leave.